A Reminder About Taxonomy Codes for Out-of-State Members

When Blue Cross and Blue Shield of North Carolina (Blue Cross NC) receives claims with a multi-specialty taxonomy code at the rendering level for our out-of-state members, processing delays occur.

Key points

• This coding recommendation refers to our members who are covered by Blue Cross NC but live in a state other than North Carolina.
• Do not submit multi-specialty taxonomy values, specifically taxonomy code 193200000X, in the "NM1*82 Rendering Provider" level of the 837 professional file.
• If taxonomy is used at the "NM1*82 Rendering Provider" level, please use a code indicating a specific specialty, rather than a multi-specialty.
• For Blue e entries, the specific taxonomy code should be entered in field 24 J.